[1]王慧明,卓春萍,王庆雷,等.钢板内固定术联合中药煎服治疗胫骨平台骨折的 临床疗效观察[J].医学信息,2018,31(14):110-112.[doi:10.3969/j.issn.1006-1959.2018.14.032]
　WANG Hui-ming,ZHUO Chun-ping,WANG Qing-lei,et al.Clinical Observation on Treatment of Fracture of Tibial Plateau with Plate Internal Fixation Combined with Traditional Chinese Medicine Decoction[J].Journal of Medical Information,2018,31(14):110-112.[doi:10.3969/j.issn.1006-1959.2018.14.032]
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钢板内固定术联合中药煎服治疗胫骨平台骨折的 临床疗效观察()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年14期
页码:
110-112
栏目:
临床研究
出版日期:
2018-07-15

文章信息/Info

Title:
Clinical Observation on Treatment of Fracture of Tibial Plateau with Plate Internal Fixation Combined with Traditional Chinese Medicine Decoction
文章编号:
1006-1959（2018）14-0110-03
作者:
王慧明; 卓春萍; 王庆雷; 马建华; 金洪举
北京老年医院骨科，北京 100095
Author(s):
WANG Hui-ming; ZHUO Chun-ping; WANG Qing-lei; MA Jian-hua; JIN Hong-ju
Department of Orthopaedics,Beijing Geriatric Hospital,Beijing 100095,China
关键词:
胫骨平台骨折; 钢板内固定术; 中药; 膝关节活动度
Keywords:
Key words：Fracture of tibial plateau; Internal fixation with plate; Traditional Chinese medicine; Range of knee joint motion
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2018.14.032
文献标志码:
A
摘要:
目的 观察钢板内固定术联合中药治疗胫骨平台骨折的临床疗效。方法 选取我院2016年2月~2017年2月收治的96例胫骨平台骨折患者，将其随机分为观察组和对照组，各48例。观察组患者采用钢板内固定术联合中药治疗，对照组采用单纯钢板内固定术治疗，观察患者骨折愈合时间、完全负重时间、膝关节活动度、手术优良率及并发症发生情况。结果 治疗后，观察组的骨折愈合时间少于对照组[（91.05±4.36）d vs（114.39±4.08）d]、完全负重时间[（97.14±21.56）d vs（106.84±22.05）d]、6个月后膝关节活动度优于对照组，组间比较，差异均有统计学意义（P＜0.05）；观察组手术优良率为89.58%，高于对照组的72.92%，差异有统计学意义（P＜0.05）；对照组患者并发症发生率为31.25%，高于观察组18.75%，差异有统计学意义（P＜0.05）。结论 采用钢板内固定术联合中药治疗胫骨平台骨折患者，骨折愈合时间短，优良率高，并发症少。
Abstract:
Abstract：Objective To observe the clinical effect of plate internal fixation combined with traditional Chinese medicine in the treatment of fracture of tibial plateau.Methods From February 2016 to February 2017,96 patients with fracture of tibial plateau were randomly divided into observation group and control group,48 cases in each group.The patients in the observation group were treated with plate internal fixation combined with traditional Chinese medicine,and the control group were treated with simple plate internal fixation.The fracture healing time,total weight bearing time,knee joint activity,the excellent and good rate of operation and the occurrence of complications were observed.Results After treatment,the healing time of fracture in the observation group was shorter than that in the control group[(91.05±4.36)d vs(114.39±4.08)d],and the time of complete weight loading[(97.14±21.56)d vs(106.84±22.05)d],and the knee joint motion after 6 months was better than that in the control group,the difference was statistically significant (P<0.05).The excellent and good rate of operation in the observation group was 89.58%,which was higher than that in the control group 72.92%,the difference was statistically significant(P<0.05).The incidence of complications in the control group was 31.25%,it was significantly higher than that in the observation group 18.75%,the difference was statistically significant(P<0.05).Conclusion The treatment of fracture of tibial plateau with plate internal fixation and traditional Chinese medicine has short healing time,high excellent and good rate and less complications.

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更新日期/Last Update: 2018-07-15